Individual
RICHARD T SLIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
815 E 6TH ST, HOBART, IN 46342-4619
(219) 545-2982
Mailing address
815 E 6TH ST, HOBART, IN 46342-4619
(219) 545-2982
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057003684
IL
Other
Enumeration date
12/13/2012
Last updated
12/13/2012
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